HI ! Good evening. I am Dr Shareef answering your query. The lymph node status points to an infective condition of the area drained by the lympnode. Common culprit is the dandruff of scalp hair, lice infestation in scalp hair, or any infection of the skin nearby area. This has nothing to do with your back massage. If I were your doctor, i would treat the lice infestation or the dandruff if present, and also prescribe a short course of antibiotic to control the infection along with an anti inflammatory drug. This should relieve you of your symptoms. If it does not resolve, then I would refer you to a general surgeon for assessment and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.